New Member Application
(*) Denotes Required Fields
Company Information
Company: *
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone 1: *
Phone 2:
Fax:
E-mail: *
Web Site:
Business Category #1:
Please contact us with questions regarding business categories.
Full-time Employees:
Part-time Employees:
Members-only Access
Members-only allows you to update your information online via a secure login.
Admin E-mail: *
Password: *
Verify Password: *
Primary Contact Person
Prefix:
First Name: *
Last Name: *
Suffix:
Familiar Name:
Title:
Use Company contact information above.
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone 1: *
Phone 2:
Fax:
E-mail: *
Billing Contact Person
Send bills to Primary Contact above.
Prefix:
First Name: *
Last Name: *
Suffix:
Familiar Name:
Title:
Use Company contact information above.
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone 1: *
Phone 2:
Fax:
E-mail: *
Home-Based Business:   
Investment Schedule
Business Type
Annual Investment:$245.00
Number of EmployeesAmount
1 thru 5$245.00
6 thru 10$335.00
11 thru 15$465.00
16 thru 25$620.00
26 thru 50$825.00
51 thru 75$1,080.00
76 thru 100$1,340.00
101 thru 200$1,500.00
201 thru 300$1,650.00
Over 300 Employees$1,800.00*
* plus $1.00 per Employee over 300
Registration Fee$50.00
__________
Total:$295.00
Businesses with the same owner, name and business category having multiple locations may join initial location at full investment level and subsequent locations at a fifty percent per additional location. Please contact the chamber to register subsequent locations at the discounted rate.
(*) Denotes Required Fields